| NPI | 1306199609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 2599) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 7511) |
| 225100000X Physical Therapist (Licence: KY 4907) | |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2012-10-24 |